Clinical Edge
Business Intelligence
Business Intelligence, part of Clinical Edge, improves care quality and manages costs with real-time reporting, interactive dashboards, and self-service analytics to support better care outcomes.
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Dynamic Reporting & Dashboards
Access 50+ interactive standard reports and user-friendly dashboards for real-time care insight.
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50+ standard reports
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Interactive dashboards
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Operational, clinical and business insights
Regulatory Compliance Made Easy
Generate Centers for Medicare and Medicaid Services (CMS) required reports for Part C, Part D, CDAG, and ODAG that are formatted and ready to submit.
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CMS-ready reports
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Audit and annual report readiness
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Submission-ready
Customizable Self-Service Solutions
Build the reports you need with robust, predefined data sources and self-service tools, so your team can generate insights quickly without relying on external analysts.
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Self-service reports
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Pre-defined data sets
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No IT dependency
Clinical Edge Suite
Care
Management
Streamlined workflows and centralized member data help care teams deliver personalized, evidence-based, whole-person care.
Utilization
Management
Clinically sound, workflow-driven tools with intelligent automation optimize the authorization lifecycle and support compliance.
Appeals
and Grievances
An intuitive, end-to-end solution consolidates appeals, supports regulatory compliance, and delivers one-click packet creation.
Authorization
Portal
End-to-end workflows, automated approvals, and real-time provider communications boost operational agility across your plan.
Mobile
Clinician
Secure mobile access lets field staff run assessments, build care plans, capture consent, and start referrals online or offline.
Member
Engagement
A scalable digital platform pairs omnichannel communication with advanced tools to deliver measurable health outcomes.
Population
Health
Real-time analytics and effective stratification identify at-risk populations and help your teams close care gaps faster.
Quality360
NCQA-certified quality management links HEDIS gap identification to care workflows, streamlining closure and reducing manual work.
Business Intelligence
Advanced reporting and dashboards for CMS and NCQA give your teams the insight to drive smarter, data-backed decisions.
Clinical Edge
University
24/7 access to module-based training, so staff can build product expertise on their own schedule, from anywhere.
Clinical Edge Business Intelligence for Better Care Decisions
Business Intelligence, part of Clinical Edge, gives health plans real-time, CMS-ready insight into care performance.